HomeMy WebLinkAbout1811 W Hwy 101 - Building
10/12/2005 10:49 ~~ 36045;4698
STR~ITS ELECTRIC
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i!i Electrical Contractor
o OwIIer t3
ELEClRICAL WORK PERMIT APPLICATION
.
o Request Inspection
Cl ADDUal Permit 0 Alarm 0 Caruival t4 Commerrlal CJ Resideati.l D Residential MaiDt. 0 Sie:as CJ Thermostat D Telecom.
Job ",i,ed by
ilj Electrical Cnntractor 0 Owner
Installillion descnplion
~Icctrical contractor nlme
Straits Electric
PurchAser's maiting address
P.O. Box 2914
City
Port Angeles
Telepnone number
360-452-9104
LicenSe number
STRAIE*011OS
Stll~ ZIP
WA 98362
FAX number
360-457-4698
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J~ heeler
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I am the owner of the above named propcny or a licensed
or (or the finn's authorized agerH) and am making the elccuicaJ
lion in compliance with the electrical law, Chapler 19.28 RCW,
o Cash 0 Check #
IlII Credi I C...d Visa
Mastercard
Discover
Card# On File _
----------------
SI.
eler.lrlClI contractor 0'- I!lettrlealldmlalslrltof
Expiration Date
of card
x
WALL'l
Insulation Only
Dale AfIl'I'OYed U'j
Cover
Dale ^p~"""gl UJ'
CEILING
I'nSlllation Only
Dale A~f\,
Covr:r
Dale ....lIDl'V"gl8,.
, 'IHERMOST AT
0.' """"ved Q,.
, DITCH
D.II~ AI"ltV"IldBy
SERVICE
Da~e ....ppro..! 8,.
FEEDER
Oil. Appql.ed U,
Electrical L....d Addltlone and or oubtractlone
Cl NO LOAD CHANGES
Cl Baseboard _ KW
[J Furnace t()N
o Heel Pump _ Ton _ LAR
[J Fen-Wall KW
Service Information
[J Overhead Service
(J Temp Service
o Underground Servlce
Voltags
PheseO,Oa
Service Size: _
Fe.eder Size:
Inspection Area, Building or Equipmenllnspected Action Taten Electrical
Oilt~ InspcctDr